Palabras clave
Diente endodónticamen-te tratado, anclaje radicular, fractura den-taria, bruxismo, éxito clínico
Cómo citar
Postes colados:: estudio clínico retrospectivo de 44 años en clínica privada especializada. (2019). Odontoestomatología, 17(25), 11-22. https://odon.edu.uy/ojs/index.php/ode/article/view/12
Resumen
Objetivo. El objetivo de este estudio fue examinar el resultado clínico longitudinal de dientes endodónticamente tratados, rehabilitados con postes colados y una restauración coronaria, durante 44 años. Materiales yMétodos. En 130 pacientes seleccionados al azar, 95 presentaron 297 dientes rehabilitados con un poste colado y una restauración coronaria. El criterio de éxito fue que el diente rehabilitado per-maneciera funcional sin patología clínica ni radiográfica. Resultados: Doscientos sesenta y ocho (90%) estaban en función y 29 (10%) habían fracasado. El Indice Kappa de Cohen, fue de 0.78 - 1. Con-clusiones. El éxito clínico fue de 90%. La sobrevida media observada de los dientes estudiados fue de 19 años. La tasa de fraca-so fue de 10%, siendo la fractura dentaria la falla más prevalente (5% de todos los dientes restaurados)
Referencias
1. Reeh ES, Messer HH, Douglass WH. Reduction in tooth stiffness as a result of endodontic and restorative procedures. J Endod 1989;15:512-516.2. Jameson MW, Hood JA, Tidmarsh BG. The effects of dehydratation and rehydra-tation on some mechanical properties of human dentin. J Biomech 1993;26:1055-1065.3. Goldsmith M, Gulabivala K, Knowles JC. The effect of sodium hypochlorite irrigant concentration on tooth surface strain. J Endod 2002;28:575-579.4. Souza Bier CA, Shemesh H, Tanoma-ru-Filho H, Wesselink PR, Wu M. The ability of different nickel-titanium rota-ry instruments to induce dentinal dam-age during canal preparation. J Endod 2009;35:236-238.5. Salvi GE, Siegrist BE, Amsta T, Joss A, Lang NP. Clinical evaluation of root filled teeth restored with or without post and core systems in an specialist practice set-ting. Int Endod J 2007;40:209-215.6. Ferrari M, Vichi A, García-Godoy F. Clinical evaluation of fiber-reinforced epoxy resin posts and cast post and cores. Am J Dent 2000;13:15B-18B.7. Bergman B, Lundquist P, Sjögren U, Sun-dquist G. Restorative and endodontic re-sults after treatment with cast posts and cores. J Prosthet Dent 1989;61:10-15.8. Creugers NH, Mentink AG, Fokkinga WA, Kreulen CM. 5-year follow-up of a prospective clinical study on various ty-pes of core restorations. Int J Prosthodont 2005;18:34-39.9. Hikasa T, Matsuka Y, Mine A, Minaku-chi H, Hara ES, Van Meerbeek B, Yata-ni H, Kuboki T. A 15-year clinical com-parative study of the cumulative survival rate of cast metal core and resin core restorations luted with adhesive resin ce-ment. IntJProsthodont 2010;23:397-405.10. Torbjörner A, Karlsson S, Odman PA. Survival rate and failure characteristics for two post designs. J Prosthet Dent 1995;73:439-444.11. Weine FS, Wax AH, Wenckus CS. Re-trospective study of tapered, smooth post system in place for 10 years or more. J En-dod 1991;17:293-297. 12. Jung RE, Kalkstein O, Sailer I, Roos M, Hämmerle ChHF. A comparison of com-posite post buildups and cast gold post-and-core buildups for the restoration of non vital teeth after 5 to 10 years. Int J Prosthodont 2007;20:63-69.13. Ellner S, Bergendal T, Bergman B. Four post-and-core combinations as abutments for fixed single crowns: a prospective up to 10-year study. Int J Prosthodont 2003;16:249-254.14. Ryge G. Clinical criteria. Int Dent J 1980;30:347-358.15. Cohen J, Weighed Kappa: Nominal scale agreement with prevision for scaled disa-greement or partial credit. Psychological Bulletin, 1968;70:213-220.16. Fleiss J L. Statistical methods for rates and proportions (2nd. Ed), New York: John Wiley, 1981:38-46.17. Friedman S, Abitbol S, Lawrence HP. Treatment outcomes in endodontics: the Toronto Study. Phase 1: initial treatment. J Endod 2003;29:787-793.18. Arlan CV, Dimitriu B, Arlan VV, Bo-dnar D, Suciu I. Current opinions con-cerning the restoration of endodontically treated teeth: basic principles. J Med Life 2009;15:165-172.19. Fokkinga WA, Kreulen CM, Vallittu PK, Creugers NHJ. A structural analysis of in vitro failure loads and failure modes of fiber, metal and ceramic post and core systems. Int J Prosthodont 2004;17:476-482.20. Torbjörner A, Fransson B. A literatu-re review on the prosthetic treatment of structurally compromise teeth. Int J Prosthodont 2004;17:369-376.21. Riva R, Sanguinetti M, Rodríguez A, Guzzetti L, Lorenzo S, Alvarez R, Mas-sa F. Prevalencia de trastornos témporo mandibulares y bruxismo en Uruguay. Odontoestomatología 2011;17:54-71.22. Carlsson GE, MagnussonT. Epidemio-logic studies of TMD. En: Carlsson GE, Magnusson T. Management of Temporo-mandibular Disorders in the general den-tal practice. Quintessence,1999:13-17.23. Dietschi D, Duc O, Krejci I, Sadan A. Biomechanical considerations for the res-toration of endodontically treated teeth: a systematic review of the literature-Part 1. Composition and micro and ma-crostructure alterations. QuintessenceInt 2007;38:737-743.24. Reeh ES, Douglass WH, Messer HH. Stiffness of endodontically treated teeth related to restoration technique. J Dent Res 1989; 88:1540-1544.25. Costa LC, Pegoraro LF, Bonfante G. In-fluence of different metal restorations bonded with resin on fracture resistance of endodontically treated maxillary pre-molars. J Prosthet Dent 1997;77:365-369.26. Salis SG, Hood JA, Stokes AN, Kirk E. Patterns of indirect fracture in intact and restored human premolar teeth. Endodon Dent Traumatol 1987;3:10-14.27. Magne P, Belser UC. Porcelain versus composite inlays/onlays : effects of me-chanical loads on stress distribution, ad-hesion and crown flexure. Int J Periodon-tics Restorative Dent 2003; 23:543-555.28. St-Georges AJ, Sturdevant JR, Swift EJ Jr, Thompson JY. Fracture resistance of prepared teeth restored with bonded in-lay restorations. J Prosthet Dent 2003;89: 551-557.29. Yamada Y, Tsubota Y, Fukushima S. Effect of restoration method on fracture resis-tance of endodontically treated maxillary premolars. Int J Prosthodont 2004;17: 94-98.30. Krejci I, Duc O, Dietschi D, De Campos E. Marginal adaptation, retention and fracture resistance of adhesive compos-ite restorations on devital teeth with and without posts. Oper Dent 2003;28:127-135.31. Rocca GT, Rizcalla N, Krejci I. Fiber-re-inforced resin coating for endocrown pre-parations: a technical report. Oper Dent 2013;38:242-248. 32. Rocca GT, Krejci I. Crown and post-free adhesive restorations for endodontically treated posterior teeth: from direct com-posite to endocrowns. Eur J Esthet Dent 2013;8:156-179. 33. Sorensen J, Engelman M. Ferrule de-sign and fracture resistance of endodon-tically treated teeth. J Prosthet Dent 1990;63:529- 539.34. Akkayan B. An in vitro study evaluat-ing the effect of ferrule length on frac-ture resistance of endodontically treated teeth restored with fiber-reinforced and zirconia dowell systems. J Prosthet Dent 2004;92:155-162.35. Isidor F, Brondum K, Ravnholt G. The influence of post length and crown fe-rrule length on the resistance to cycling loading of bovine teeth with prefabri-cated titanium posts. Int J Prosthodont 1999;12:78-82 36. Messomo E, Massa F, Dalla Libera S. Fracture resistance of teeth restored with two different post and core designs ce-mented with two different cements: an in vitro study. Part 1. Quintessence Int 2003;34:301-306.37. Tan PLB, Aquilino SA, Gratton DG, Stanford CM, Tan SCh, Johnson WT, Dawson D. In vitro fracture resistance of endodontic treated central incisors with varying ferrule heights and configura-tions. J Prosthet Dent 2005;93:331-335.38. NG CC, Dumbrigue HB, Al-Bayat MI, Griggs JA, Wakefield CW. Influence of remaining coronal tooth structure lo-cation on the fracture resistance of resto-red endodontically treated anterior teeth. J Prosthet Dent 2006;95:290-296.39. Barkhordar RA, Radke R, Abbasi J. Effect of metal collars on resistance of endodon-tically treated teeth to root fracture. J Prosthet Dent 1989;61:676-678.40. Naumann M, Koelpin M, Beuer F, Me-yer-Lueckel H. 10-year survival evaluation for glass-fiber-supported postendodontic restoration: a prospective observational clinical study. J Endod 2012;38:432-435. 41. Fokkinga WA, Kreulen CM, Bronkhorst EM, Creugers NH. Up to 17-year contro-lled clinical study on post-and-cores and covering crowns. J Dent2007;35:778-786.42. Sterzenbach G, Franke A, Naumann M. Rigid versus flexible dentine-like en-dodontic posts clinical testing of a bio-mechanical concept: seven-year results of a randomized controlled clinical pilot trial on endodontically treated abutment teeth with severe hard tissue loss. J Endod2012;38:1557-1563.43. Sorensen JA, Martinoff JT. Clinically sig-nificant factors in dowel design. J Prosthet Dent 1984;52:28-35.44. Soares CJ, Correia Miranda Valdivia AD, Rodrigues da Silva G, Ribeiro Santana F, Meneses M de S. Longitudinal clinical evaluation of post systems: a literature re-view. Braz Dent J 2012;23:135-140.45. Frankenberger R, Reinelt C, Petschelt A, Krämer N. Operator vs. material in-fluence on clinical outcome of bonded ce-ramic inlays. Dent Mater 2009;25:960-968. 46. Kremeier K, Fasen L, Klaiber B, Hof-mann N. Influence of endodontic post type (glass fiber, quartz fiber or gold) and luting material on push-out bond strength to dentin in vitro. Dent Mater 2008;24:660-666.47. Habib B, Von Fraunhofer JA, Driscoll CF. Comparison of two luting agents used for the retention of cast dowel and cores. J Prosthodont 2005;14:164-169.48. Schwartz RS, Murchison DF, Walker IIIWA. Effects of eugenol and non eu-genol endodontic sealer cements on post retention. J Endod 1998;24:564-567.49. Donovan TE, Cho GC. Contemporaryevaluation of dental cements. Compend Contin Educ Dent 1999;20:197-199, 0. Randow K, Glanz PO. On cantilever loading of vital and no vital teeth. An ex-perimental clinical study. Acta Odontol Scand 1986;44:271-277.51. Jacobs R, Van Steenberghe D. Role of pe-riodontal ligament receptors in the tactile function of teeth: a review. J Periodont Res 1994;29:153-67.52. Jacobs R, Van Steenberghe D. From osseoperception to implant-mediated sensory- motor interactions and rela-ted clinical implications. J Oral Rehabil 2006;33:282-92.53. Hanning C, Westphal C, Becker K, Attin T. Fracture resistance of endodontically treated maxillary premolars restored with CAD-CAM ceramic inlays. J Prosthet Dent 2005;94:342-349.54. Iqbal MK, Johansson AA, Akeel RF, Berg-enholtz A, Omar R. A retrospective analy-sis of factors associated with the periapical status of restored endodontically treated teeth. Int J Prosthodont 2003;16:31-38.55. Valderhaug J, Jokstad A, Ambjornsen E, Norheim P W. Assessment of the peria-pical and clinical status of crowned teeth over 25 years. J Dent 1997;25:97-105.56. Tronstad L, Asbjornsen K, Doving L, Pe-dresen I, Eriksen HM.Influence of coro-nal restorations on the periapical health of endodontically treated teeth. Endod Dent Traumatol 2000;16:218-221.57. Gillen BM, Looney SW, Gu LS, Loushi-ne BA, Weller RN, Pashley DH, Tay FR. Impact of the quality of coronal restora-tions versus the quality of root canal fi-llings on success of root canal treatment: a systematic review and meta-analysis. J Endod 2011;37:895-902.58. Ploumaki A, Bilkhair A, Tuna T, Stampf S, Strub JR. Success rates of prosthetic restorations on endodontically treated teeth: a systematic review after 6 years. J Oral Rehabil 2013;40:618-630. 59. Gómez-Polo M, Llidó B, Rivero A, Del Río J, Celemín A. A 10-year retrospec-tive study of the survival rate of teeth restored with metal prefabricated posts versus cast metal posts and cores. J Dent 2010;38:916-920.